Re-visiting my Favorite Types of Filler
I know in the past I have talked often about my go-to choices for hyaluronic-acid based fillers that I use on a daily basis in my practice. I thought it might be helpful to go over each one of the four Allergan fillers that fall into the Juvederm family again and where on the body each one can be used with amazing results.
Juvederm Vollure: this filler is the “new kid on the block” for Allergan. I am quickly becoming obsessed with the versatility and smoothness this product has to offer. Vollure is perfect for using around the fleshy areas of the lower face where Juvederm Ultra Plus XC was always used. It is becoming my first choice for softening and smoothing nasolabial folds and marionette lines. I am also finding that Vollure plumps the lips perfectly without the annoyance of “feeling” the filler for the first couple of weeks post-injection. And, a nice bonus is that Vollure has been FDA approved to last up to 18 months.
Juvederm Voluma: this filler was the first one I ever had injected in my face and it will always be my favorite. As a gal in her late 40’s, my first and foremost need is to get some lift in my cheeks so jowls are minimized. This is what Voluma was created for…. Lift. The product is made of a tighter matrix than other fillers in the Juvederm family, meaning Voluma will adhere to the bone and bring back volume while providing lift. While Voluma is not an “end all, be all” for lifting the face, it can delay the need for surgery for quite a while. The FDA has approved Voluma to last up to 2 years which is fantastic.
Juvederm Volbella: this filler is a soft silky product which was formulated to be injected into the tiny lines around the mouth, a.k.a. “smoker’s lines”. Most of my patients are not even smokers, but they complain of these lines which often come from years of sun exposure and/or using straws to drink beverages. Volbella will softly smooth these lines and wrinkles and bring back a more hydrated appearance. Volbella is also great for the woman who feels like her lips are shrinking with age, but does not want a voluptuous pout. This patient might just be after a more hydrated look in her lips without a change in size, and Volbella is perfect for that. The area of the face where I tend to put Volbella most often, though, is in the tear troughs. While it may take more than one syringe for both tear troughs, this filler is perfect for filling the indentation that often results in the tear trough area making us look tired, dehydrated, and worn out. Volbella is FDA approved to last about a year.
Juvederm Ultra Plus XC: this filler has been around for a long time and has been the foundation for Allergan as far as filler is concerned. Juvederm has a nice moldable texture which can be used on many areas of the face. I still use Juvederm Ultra Plus XC in the nasolabial folds, marionette lines, and lips regularly. This filler is even great for plumping up apples of the cheeks and for aging individuals who feel their hands could use some volume to minimize the appearance of vessels. Juvederm Ultra Plus XC is FDA approved to last anywhere from 9 to 12 months.
I spend a good deal of time educating all of my patients about the Juvederm family of fillers I use on a regular basis. I explain the duration of each product, the best location for each type of filler, and cost. My belief is that aesthetic procedures should be co-creative in nature between physician and patient. Embarking on a journey together to achieve the most natural, youthful results possible is the ultimate goal I have for all of my patients.
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